Provider Demographics
NPI:1760597785
Name:PATEL, NILESH DAYA (MD)
Entity Type:Individual
Prefix:
First Name:NILESH
Middle Name:DAYA
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 E 46TH ST
Mailing Address - Street 2:SUITE 800
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-2417
Mailing Address - Country:US
Mailing Address - Phone:212-810-4283
Mailing Address - Fax:646-490-4619
Practice Address - Street 1:20 E 46TH ST
Practice Address - Street 2:SUITE 800
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-2417
Practice Address - Country:US
Practice Address - Phone:212-810-4283
Practice Address - Fax:646-490-4619
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY207749207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02080326Medicaid
NY10Z791Medicare ID - Type Unspecified
NY02080326Medicaid